Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $164.20 / $3,740.00	Facility		$40.94	$164.20	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $133.96 / $214.34	Professional		$36.64	$133.96	$214.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $34.79 / $34.79	Professional		$34.79	$34.79	$34.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $32.19 / $52.38	Professional		$27.36	$32.19	$52.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $41.04 / $48.28 / $78.42	Professional	50	$41.04	$48.28	$78.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $50.62 / $59.55	Facility		$36.22	$50.62	$59.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $53.97 / $232.99	Professional		$42.71	$53.97	$232.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $159.32 / $268.36	Professional		$46.57	$159.32	$268.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $112.92	Professional		$32.34	$32.34	$112.92
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $174.34 / $286.41	Professional		$143.18	$174.34	$286.41